Organization Active NPI

Steven D Stockard DPM a Professional Podiatric Corp

  • Foot & Ankle Surgery Podiatrist
  • Huntington Beach, CA
National Provider Identifier
1558504241
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E4255 Issued in CA
Legal business name
STEVEN D STOCKARD DPM A PROFESSIONAL PODIATRIC CORP
Practice address
17401 Nichols LN
Suite E
Huntington Beach, CA 92647-5777
Phone
(562) 761-4388
Fax
(714) 908-1970
NPI assigned
Apr 11, 2009
Last updated
Sep 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Steven D StockardNPI 1548377740
Title
President
Phone
(562) 761-4388

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E4255 CA Primary

Addresses

Primary practice location

17401 Nichols LN
Suite E
Huntington Beach, CA 92647-5777

Mailing address

17401 Nichols LN Ste E
Huntington Beach, CA 92647-8716
Phone (562) 761-4388

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090602000293 CA Part B Supplier - Clinic/Group Practice 9335299932 Receives reassigned benefits from 3 practitioners
Practice locations: Sacramento, CA; Anaheim, CA

National Provider Directory

National Provider Directory
Tax ID family
Icm Medical Group3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

17401 Nichols Ln
Ste E
Huntington Beach, CA 92647
Phone (562) 761-4388

2804 Gateway Oaks Dr
Ste 200
Sacramento, CA 95833
Phone (562) 761-4388

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1239408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788912000000",
    "number": "1558504241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17401 NICHOLS LN STE E",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926478716",
            "telephone_number": "562-761-4388",
            "fax_number": "714-908-1970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17401 NICHOLS LN",
            "address_2": "SUITE E",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926475777",
            "telephone_number": "562-761-4388",
            "fax_number": "714-908-1970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN D STOCKARD DPM A PROFESSIONAL PODIATRIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-11",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A",
        "authorized_official_last_name": "STOCKARD",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-761-4388"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.